WI0500209_GEOTHERMAL_20120517

BA
NCDENR~
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue-
Governor
Chatham County Schools
Post Office Box 128
Pittsboro, NC 27312-0128
Division of Water Quality
Charles Wakfld,-P-. -E.--
Director
May 17, 2012
Subject: Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0500209
To Whom it May Concern:
Dee Freeman-·
Secretary
Our records indicate that you currently hold a permit for a closed-loop geothermal injection well
system. This letter is to inform you that on ·May 1, 2012, the North Carolina Administrative
Code Title 15A Section 2C .0200 entitled "Well Construction Standards -Criteria and
Standards Applicable Injection Wells" were revised. These revisions affect all permits issued
for injection wells including geothermal wells.
This letter is also to inform you that your closed-loop geothermal injection well(s) have become
"permitted by rule." Therefore, you are no longer required to renew your current permit
and the permit will be valid indefinitely as long as the wells are active and are operated in
accordance with the revised rules referenced above. Please keep in mind that if you abandon
the wells, a record of abandonment must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http ://portal.ncdenr.or g/web/wq/aps.
If you have any questions regarding your current pem1it or the rule revisions, please feel free to
contact our underground injection control staff at [phone].
Sincerely,
Eric G. Smith, P .G.
Hydro geologist
cc: UIC Permit File
AQU IFER PROTECT ION SECTION
1636 Mai l Service Center, Raleigh , North Carolina 27699 -1636
Location: 512 N. Sali sbury St., Raleigh , North Carolina 27604
Phone: [phone] \ FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Op pori unily \ Affirma tive Action Employer
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Permit Number WI0500209
Program Categocy
Ground Water
Permit Type
..
Injection Mixed Fluid GSHP Well System (SQM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilitv
Facility Name
Chatham County Briar Chapel Middle School
Location Address
185 Granite Mill Blvd
Pittsboro
Owner
Owner Name
NC
Chatham County School District
Dates/Events
27312
Orig Issue
08/17/09
App Received Draft Initiated
06/05/09
Scheduled
Issuance
Central Files: APS_ SWP_
08/20/09
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Raleigh
County
Chatham
Facility Contact Affiliation
Owner Type
Government -Municipal
Owner Affiliation
Randy Drumheller
Construction Manager
PO Box 128
Pittsboro NC 273120128
Public Notice Issue
08/17/09
Effective
08/17/09
Expiration
07/31/14
_R_e_g_u_la_t_ed_A_c_ti_v_it_ie_s _______________ Reauested/Received Events
Heat Pump Injection RO staff report requested
RO staff report received
Outfall NUL. ..
Waterbody Name Stream Index Number Current Class
06/19/09
07/24/09
Subbasin
Permit Number WI0500209
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Chatham County Briar Chapel Middle School
Location Address
185 Granite Mill Blvd
Pittsboro
Owner
Owner Name
NC
Chatham County School District
Dates/Events
27312
Orig Issue App Received Draft Initiated
06/05/09
Reaulated Activities
Heat Pump Injection
Outfall NULL
Scheduled
Issuance
Central Files: APS_ SWP_
08/07/09
Permit Tracking Slip
Status
In review
Project Type
New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Raleigh
County
Chatham
Facility Contact Affiliation
Owner Type
Government -Municipal
Owner Affiliation
Randy Drumheller
Construction Manager
PO Box 128
Pittsboro NC
Public Notice Issue Effective
~,11\09
Re a uested/Received Events
RO staff report requested
RO staff report received
27312
Expiration
110\ )f Lf
06/19/09
07/24/09
Waterbody Name Stream Index Number Current Class Subbasin
., •P..:,,A a ;,1-1.
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Randy Drumheller, Construction Manager
Chatham County Public School District
P.O. Box 128
Pittsboro, NC 27312
Re: Issuance of Injection Well Permit
Permit No. WI0500209
Coleen H. Sullins
Director
August 12, 2009
Issued to Chatham County Briar Chapel Middle School
Chatham County
Dear Mr. Drumheller:
Dee Freeman
Secretary
In accordance with your application received June 5, 2009, I am forwarding Permit No. WI0500209 for the
operation of a vertical closed-loop geothermal mixed-fluid heat pump injection well system to be located at 185
Granite Mill Blvd., Pittsboro, NC 27312. This permit shall be effective from the date of issuance until July 31,
2014, and shall be subject to the conditions and limitations stated therein,
Please pay special attention to the bolded language in the permit. Please submit copies of the Well
Construction Completion form (GW-1) Part I, paragraph 7.
Please submit the data within 30 calendar days ofreceipt of this letter to the following address:
Aquifer Protection Section (APS)
Underground Injection Control (UIC) Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
Additionally, your UIC system is subject to inspection by the APS and at the time of the inspection must display
a permanently affixed identification plate in accordance with requirements of 2C .0213(g). Please insure this is
completed in accordance with permit condition Part I, paragraph 6 of this permit issued August 12, 2009.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an application
to renew the permit three months prior to its expiration date. As indicated in the permit, this permit is not
transferable to any person without prior notice to, and approval by, the Director of the Division of Water
Quality. If you have any questions regarding your permit or the Underground Injection Control Program please
call me at [phone].
Best Regards,
/~/4;--
Michael Rogers, P.G.
Environmental Specialist
cc: Jay Zimmerman-Raleigh Regional Office
Central Office File -WI0500209
Chatham County Environmental Health Dept.
Michael Huber -Chesapeake Geosystems, Inc.
Attachment(s)
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Chatham County Briar Chapel Middle School
FOR THE CONSTRUCTION AND OPERATION OF 170 TYPE SQM INJECTION WELLS, defined in Title
15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of operating a vertical closed -loop
geothermal -mixed -fluid heat pump system. This system is located at 185 Granite Mill Blvd., Pittsboro,
Chatham County. NC 27312, and will be constructed and operated in accordance with the application dated
June 5, 2009, and in conformity with the specifications and supporting data submitted, all of which are filed
with the Department of Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the Water Use Act or
any other applicable Laws, Rules, or Regulations. Operation and use of an injection well shall be in compliance
with Title •15A North Carolina Administrative Code 2C .0100 and .0200, and any other Laws, Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until July 31, 2014, and shall be
subject to the specified conditions and limitations set forth in Parts 1 through IX hereof.
Permit issued this the I"1 day of !"ku , 2009.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.

PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is
grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4. Each injection well shall not be located in an area generally subject to flooding. Areas that are generally
subject to flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions, and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and use.
6. Each geothermal injection well system shall have permanently affixed an identification plate
according to 2C .0213(g).
7. A completed Well Construction Record (Form GW-1) must be submitted for each injection well to:
Aquifer Protection Section -UIC Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
and
Aquifer Protection Section -Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
[phone]
GW-ls must be submitted within 30 days of completion of well construction. Copies of the GW-1
form(s) shall be retained on-site and available for inspection.
PART II-WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight ( 48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground Injection Control (UIC) Program Central Office staff, telephone
number [phone] and the Raleigh Regional Office Aquifer Protection Section Staff, telephone
number [phone].
2. Boreholes shall not connect separate aquifers, which have differences in water quality (e.g .. shallow
surficial aquifers , saprolite, fractured bedrock, etc.) as specified in ISA NCAC 2C .0213(d)(8)(C) and
shall be filled with bentonite grout from the lowermost water bearing zone to land surface as specified in
the permit application.
WI0500209 2
PART III -OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials and rate of injection, as
described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the Division of
Water Quality (Director). In the event there is a desire for the facility to change ownership, or there is a
name change of the Permittee, a formal permit amendment request must be submitted to the Director,
including any supporting materials as may be appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
all statutes, rules; regulations, or ordinances, which may be imposed by other local, state, and federal
agencies, which have jurisdiction. Furthermore, the issuance of this permit does not imply that all
regulatory requirements have been met.
PART IV-PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groundwater that will render it '1flSatisfactory for normal use. In the event that the
facility fails to perform satisfactorily, including the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if compliance
requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwater resulting from the operation of this facility.
PART V -OPERATIONS AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director of any
planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for injection, the
Permittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC)
Program Central Office staff, telephone number [phone]. Notification is required so that Division
staff can inspect or otherwise review the injection facility and determine if it is in compliance with permit
conditions.
PART VI -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to the injection
facility at any reasonable time for the purpose of determining compliance with this permit, may inspect or
WI0500209 3
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection, observation, and
sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with the
injection facility activities.
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, or soil sampling) deemed necessary by the
Division of Water Quality to insure surface and ground water protection, will be established and an
acceptable sampling reporting schedule shall be followed.
2. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Raleigh Regional Office, telephone number [phone], any of the following:
(A) Any occurrence at the injection facility that results in any unusual operating circumstances;
(B) Any failure due to known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
3. Where the Permittee becomes aware of an o:q1ission of any relevant facts in a permit application, or of any
incorrect information submitted in said application or in any report to the Director, the relevant and
correct facts or information shall be promptly submitted to the Director by the Permittee.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PART VIII -PERMIT RENEW AL
The Permittee shall, at least 120 days prior to the expiration of this permit, request an extension.
PART IX-CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an injection
well. Such a change would include the discontinued use of a well for injection. If a well is taken
completely out of service temporarily, the Permittee must install a sanitary seal. If a well is not to be used
for any purpose that well must be permanently abandoned according to ISA NCAC 2C .0213(h)(l), Well
Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for· any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in 15A NCAC 2C
.0214, including but not limited to the following:
(A)
WI0500209
All casing and materials may be removed prior to initiation of abandonment procedures if
the Director finds such removal will not be responsible for, or contribute to, the
contamination of an underground source of drinking water.
4
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water.
(D) Each well shall be completely filled with cement grout, which shall be introduced into the
well through a pipe which extends to the bottom of the well and is raised· as the well is
filled.
(E) In the case of gravel-packed wells in which the casing and screens have not been
removed, the casing shall be perforated opposite the gravel pack, at intervals not
exceeding 10 feet, and grout injected through the perforations.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been
created, each well shall be abandoned in such a manner that will prevent the movement of
fluids into or between underground sources of drinking water and in accordance with the
terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
WI0500209
Aquifer Protection Section-DIC Program
DENR-Division ofWater Quality
1636Mail Service Center
Raleigh, NC 27699-1636
5
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: 07-23-2009 County: Chatham
To: Aquifer Protection Section Central Office Permittee: Chatham Coun ty School ,.,
Central Office Reviewer: Michael Ro gers Project Name: UIC-5 QM Geothermal Well -i" Pi
Regional Login No:___ Application No.: WI 0500209 c..... ~ ~ c: 7Jm r-ao L GENERAL INFORMATION N .,; 0 1. This application is (check all that apply): ~ New D Renewal .;... ~-m
D Minor Modification D Major Modification ~ ! ~
~~-----~~--~~--~~-------~~------------~~~~ci D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon g-~
D Land Application of Residuals
D Distribution of Residuals
D Attachment B included
D Surface Disposal
D 503 regulated D 503 exempt
D Closed-loop Groundwater Remediation ~ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ~ Yes or D No.
a. Date of site visit: 07-21-2009
b. Person contacted and contact information: Michael Huber, [phone]
c. Site visit conducted by: Lin McCartney
d. Inspection Report Attached:~ Yes or O No.
2. Is the following information entered into the BIMS record for this application correct?
~ Yes or D No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location: 185 Granite Mill Blvd., Chapel Hill , NC 27312
b. Driving Directions: Take I-40 W . Take EXIT 270 for 151501. Follow 151501 South for 12 miles . Turn
ri ght onto Andrew1Store Rd., Turn ri ght onto Woodland Grove Dr. Turn right onto Granite Mill Blvd.
c . USGS Quadrangl~ Map name and number: NIA / ~#
d. Latitude: NIA Longitude: NIA
e. Regulated Activities I Type of Wastes (e.g., subdivision, food processing, municipal wastewater): None
For Dis posal and Injection Sites:
{I f multi ple sites either indicate which sites the information applies to. co py and p aste a new section into the
document for each site, or attach additional pa ges for each site )
a. Location(s): __
b. Driving Directions: __
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude: __
IL NEW AND MAJOR MODIFICATION APPLICATIONS (this section not needed for renewals or minor
modifications, skip to next section)
Descri ption Of Waste (S) And Facilities
1. Please attach completed rating sheet. Facility Classification: __
FORM: Staff.Report-Chatham.School.County l
:::io
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Descri ption Of Well(S) And Facilities -New, Renewal, And Modification
1. Type of injection system:
D Heating/cooling water return flow (5A7)
~ Closed-loop heat pump system (5QM/5QW)
D In situ remediation (SI)
D Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
D Other (Specify: )
2. Does system use same well for water source and injection? D Yes ~ No
3. Are there any potential pollution sources that may affect injection? D Yes ~ No
What is/are the pollution source(s)? What is the distance of the in jection well (s) from the pollution
source (s)? ft.
4. What is the minimum distance of proposed injection wells from the property boundary? 400 ft.
5. Quality of drainage at site: ~ Good D Adequate D Poor
6. Flooding potential of site: C8'.I Low D Moderate D High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? D Yes D No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: __
8. Does the map presented represent the actual site (property lines, wells, surface drainage)?~ Yes or D No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow.
Injection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
D Yes D No. If yes , exp lain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? D Yes D No. If yes . explain:
3. For renewal or modification of groundwater remediation permits (ofanv typ e). will
continued/additional/modified injections have an adverse imp act on mi gr~tion of the plume or management of
the contamination incident? D Yes D No. If yes , explain:
4. Drilling contractor: Name: Chesap eake Geosystems . INC.
FORM: Staff.Report-Chatham.School.County 4
AQUIFER PROTECTION SE'CTION REGIONAL STAFF REPORT
Address: 6720 Fort Smallwood Rd., Baltimore. MD, 21226
Certification number: 2055-A
5. Complete and attach Well Construction Data Sheet.
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet -if needed information is available
3. Do you foresee any problems with issuance/renewal ofthis permit? D Yes l2J No. If yes, please explain
briefly. __ .
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
7 . Recommendation: D Hold, pending receipt and review of additional information by regional office; D Hold,
pending review of draft permit by regional office; D Issue upon receipt of needed additional information; l2J
Issue; D Deny. If deny, please state reasons:
FORM: Staff.Report-Chatham.School.County 5
►
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
8. Signature ofreport preparer(s): -~_l>1 __ 4l~~~~____,.l _77:,...._..,_ ...,,..._.1 J/-__ _
Signature of APS regional s~eTVisor: ~
Date: 7 ~ ;z.,-----(9 / }'
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
The location of the facili ty is not in Ma pguest System, therefore , the latitude and longitude are not available.
FORM: Staff.Report-Chatham.School.County 6
Permit: WI0500209
SOC:
County: Chatham
Region: Raleigh
Effective:
Effective:
Contact Person: Randy Drumheller
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 07/21/2009
Primary Inspector: Lin McCartney
Secondary lnspector(s):
Reason for Inspection: Routine
Compliance Inspection Report
Expiration:
Expiration:
Title:
Owner: Chatham County School District
Facility: Chatham County -Granite Mill Blvd
185 Granite Mill Blvd
Pittsboro NC 27312
Phone: [phone]
Certification: Phone:
Entry Time: 10:30 AM Exit Time: 12: 15 PM
Phone: [phone]
Ext.4243
Inspection Type: Reconnaissance
Permit Inspection Type: Injection Mixed Fluid GSHP Well System (5QM)
Facility Status: ■ Compliant O Not Compliant
Question Areas:
■Wells
(See attachment summary)
Page: 1
Permit: WI0500209
Inspection Date: 07/21/2009
Inspection Summary:
Owner -Facility: Chatham County School District
Inspection Type: Reconnaissance Reason for Visit: Routine
Page: 2
Ro gers, Michael
From:
Sent:
Tiffany Gray [[e-mail]]
Friday, August 07, 2009 12:05 PM
To: Rogers, Michael
Subject: Chatham County-Briar Chapel Middle School CGI# 09-012
Mr. Rogers:
I spoke with our client regarding Mr. Drumheller's title and was told he is the Construction
Manager for all Chatham County Schools.
If you have questions or need additional information, please feel free to contact me.
Thank you,
Tiffany Gray
Chesapeake Geosystems, Inc.
6720 Fort Smallwood Road
Baltimore, MD 21226
[phone] phone
[phone] fax
TGra y@ chesa peakegeo.com
1
. .
AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: June 19. 2009
To: D Landon Davidson, ARO-APS
0 Art Barnhardt, FRO-APS
□ Andrew Pitner, MRO-APS
~ Jay Zimmerman, RRO-APS
□ David May, WaRO-APS
0 Charlie StehmaiJ., WiRO-APS
0 Sherri Knight, W-SRO-APS
From: Michael Ro gers Groundwater Protection Unit
Telephone: (919 ) 715-6166 Fax: [phone]
E-Mail: Michael.Rogers(@,ncmail.net
A. Permit Number: WI 0500209
B. Owner: Chatham Co Schools-Briar Chapel Middle School
C. Facmty/Opera:tion: __ ._.
~ Proposed D Existing 0 Facility D Operation
D. Application:
J • .permit Type: D Animal D SFR-Surface Irrigation □ Reuse D H-R Infiltration
D Recycle D 1/E Lagoon D GW Remediation (ND)
~ UIC -SOM Geothermal well
For Residuals: D Land App. D D&M
D 503 D 503 Exempt
D Surface Disposal
D Animal
2. PrqjecUJ'ype: ~ New D Major Mod. D Minor Mod. D Renewal D Renewal w/Mod.
E. Comments/Other Information: D I would like to accompany you on a site visit. I NOTE:
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within, please take the following actions:
~ Return a Completed APSARR Form and attach laboratory analytical results, if applicable.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: -------------------Date: _____ _
FORM: APSARR 07/06 Page 1 of 1
N A
NCD ENR
North Carolina Department of Environment and Natura l Resources
Divis ion of Wate r Qualiiy
Beverly Eaves Perdue
Governor
Coleen H. Sullins
Directo r
June 1 7, 2009
Randy Drumheller
Chatham County School District
PO Box 128
Pittsboro, NC 27312
Subject: Acknowledgement of Application No. WI0500209
Chatham County -Granite Mill Rd
Injection Mixed Fluid GSHP Well System (SQM) System -SFR
Chatham
Dear Mr. Drumheller:
De e Freeman
Se cretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on June 5, 2009. This application package has been assigned the number listed above and will be reviewed by
Michael Rogers.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the
maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the
Division. Please also note at this time, processing permit applications can take as long as 60 -90 days after receipt of a complete
application.
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To
review our new organizational chart, go to h ttp ://h2o.enr.state.nc .us/documents/dw q or£chart.odf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
O~A-~
for Debra J . Watts
Supervisor
cc : Raleigh Regional Office, Aquifer Protection Section
Steve Wall (Tarheel Heating and Cooling -1036 Sutton Rd, Greensboro, NC 27406)
Permit Application File WI0500209
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Bouleva rd, Raleig h, North Caro lina 27604
Phone: [phone]\ FAX 1: 919 -715 -0588; FAX 2: 919-7 15-6048 I Customer Service : 1-877-623 -6748
Internet: www.ncwa terguality.org
An Equal Opportunity\ Affirmative Action Employer
One
N oith Car olina
lvat11rnll!f
TO:
FROM:
RE:
CHESAPEAKE GEOSYSTEMS, INC.
6720 Fort Smallwood Road
Baltimore, Maryland 21226
Phone: [phone]
1.800.252.4007
FAX: [phone]
Letter of Transmittal
Date: June 3, 2009
NC Division of Water Quality
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Tiffany Gray
Briar Chapel Middle School
Permit Application
SENT VIA:
ATTN:
PAGES:
CGI#
DESCRIPTION:
I have enclosed the following items for your review and approval:
RAqE~EIVEO I DENR I DWQ
Uifer Protection Section
JUN 06 Z009
UPS Overnight
Michael Rogers
11
(INCLUDING COVER PAGE)
09-012
-(2) Completed SQM permit applications for a Closed Loop Geothermal System w/ mixed fluid injection
-(4) Site plans; 2 per application
If you have any questions or need additional information, please feel free to contact me.
THESE ARE TRANSMITTED AS STATED BELOW:
FOR REVIEW AND APPROVAL
REMARKS:
Attachments
RECEIVED / DENR / DWQ
NORTH CAROLINA Aquirr?r Protection Section
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR) JUN 0 5 ?fi79
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELLS) FOR
INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM FOR:
TYPE 50M WELL(S)
New Permit Application OR Renewal (check one)
r
DATE: June 1 20 09
PERMIT NO.
N/A
(leave blank if NEW permit application)
A. PROPERTY OWNER(S)IAPPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative w/authority for signature): CHATHAM COUNTY SCHOOL DISTRICT
COUNTY OF CHATHAM - - RANDY DRUMHELLER - go pfit.L1: j� ,.1 I r.),Y 14c L.
(1) Mailing Address: PO BOX 128 - -
City: PITTSBORO State: NC Zip Code_ 27312-1797 County. CHATHAM
Home/Office Tele No.: 1 (919) 542- 3626 Ce11 No.: N/A
EMAIL Address: RANDYD@CHATHAM . K12 . NC . US
(2) Physical Address of Site (if different than above): 185 GRANITE MILL BLVD •
City: CHAPEL- HILL ' State: NC Zip Code: 27312 County: CHATHAM
Home/Office Te1e No.:
1 919) 5 4 2- 3 6 2 6
Cell No.: N/A
EMAIL Address: N/A
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: CHATHAM COUNTY SCHOOL DISTRICT
Contact Person: RANDY DRUMHELLER EMAIL Address: [e-mail] . K12. NC . US
Address: PO BOX 128
City: P i TTS BORO State: NC Zip Code: 27312 County: CHATHAM COUNTY
Office Tele No.: 1 919) 5 4 8 -1 6 2 Cell No.: N/A
Website Address of Company, if any: N/A
C. STATUS OF APPLICANT
Private: Federal: II
State: Municipal:
Commercial: l l
Native American Lands:
GPI/UIC 5QM Well Permit Application (Revised 712008) Page 1

D. WELL DRILLER INFORMATION
Company Name: CHESAPEAKE GEOSYSTEMS, INC.
Well Drilling Contractor's Name: _M_I_C_HA_E_L _W_._H_U_B_E_R _______________ _
NC Contractor Certification No.: _2_0_5_5_-A _____________________ _
Contact Person: MICHAEL w . HUBER EMAIL Address: MHUBER@CHESAPEAKEGEO. COM
Address: 6720 FORT SMALLWOOD ROAD
City: BALTIMORE, MD ZipCode: 21226 County: ANNE ARUNDEL COUNTY
OfficeTeleNo.: 1(410)789-5020 CellNo.: 1(443)992-6177
E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: TARHEEL HEATING AND COOLING
F.
G.
Contact Person: STEVE WALL
Address: 10 3 6 SUTTON ROAD
City: GREENSBORO, NC Zip Code: 2 7 4 0 6
Office Tele No.: 1 (336 ) 674 -9258 Cell No.:
EMAIL Address: SWALL8@TRIAD. RR. COM
County: ___ G_U_I_L_F_O_R_D_C_O_UN __ T_Y __
1(336)404-9528
----------
INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
CLOSED LOOP GEOTHERMAL HEATING AND COOLING SYSTEM
WELL CONSTRUCTION DATA (Skip to Section H if this is a Permit RENEWAL)
COMPLETED
09/30/2009 Number of borings: 170 (1) Proposed date to be constructed:
Approximate depth of each boring (feet): ___ 4_S_O_f_t __ _
(2) Chemical additives to be used in closed-lor srtem (only those chemicals indicated have been approved): n n m%
__,___,__R-22 propylene glycol ✓ ethanol ________ other (other additives will
need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc): HDPE ----------------
( 4) Well casing. Is the well(s) cased? (check either (a.) YES Q!. (b.) NO below)
(a) YES Il_ if yes, then provide casing information such as~ (steel, PVC, plastic, etc.), diameter.
depth, and extent of casing appearing above ground: ________________ _
(b) NO ✓
(5) Grout (material surrounding well casing and/or pipin~
(a) Grout type: Cement_D Bentonite l{J. Other (specify) -------
(b) Grout depth of tubing (reference to land surface): from __ o __ to 45 O (feet)
If well has casing, indicate grout depth: from N / A to N / A (feet)
H. INJECTION-RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information. CLOSED LOOP GEOTHERMAL SYSTEM
GPU/UIC SQM Well Permit Application (Revised 7/2008) Page 2
I. LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(1)
(2)
Include a site map (can be drawn) showing: buildings, property lines, surface water bodies, potential sources
of groundwater contamination and the orientation of and distances between the proposed well(s) and any
existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 1000 feet of the
geothermal heat pump well system. Label all features clearly and include a north arrow.
PLEASE SEE ATTACHED
Include a topographic map of the area extending one mile from the property boundaries and
indicate the facility's location and the map name.
J. POTABLE WATER WELL(S)
Are there any potable water well(s) on the subject property or adjacent properties? TIES ZNO
If Yes, than indicate location on attached map(s).
K. CERTIFICATION
Note: This Permit Application must be signed by each person appearing on the recorded legal property deed.
"1 hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and complete.
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, d if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifons conditions of the Permit,"
RECEIVED / DENR / dV
Aquifer chni.Miwn man
JUN 0 5 2009
Signature of Property Owner/Applicant
Signature of Property Owner/Applicant
Print or Type Full Name
Signatt klf Authorized Agent, if any
RANDY DRUMHELLER
Print or Type Full Narne
Please return two copies of the completed Application package to:
North Carolina DENR-DWQ
Aquifer Protection Section
U1C Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
OPUIU1C 5QM Welt Permit Application (Revised 7/2008) Page 3

CHATHAM COUNTY, NC
Property Map
Dlsdalmav
The data pre ded en this map are is lepered for the inventory of red property found rid in
Chathem County, NC and are corrgiad from recorded plata deeds, and other puhGorencede
and data. This data is for informational purposes only and ehaid net he suhsdrutad
fer a true title search, property oppress!, survey, et for zoning verdkadon.
Parcel Number:
Map Number:
Owner Name:
Owner Address:
Owner City:
Owner Address:
Owner State:
Owner Zip:
Description:
87469
9765-62-1645.000
COUNTY OF CHATHAM
PO BOX 1809
PITTSBORO
NC
27312-1797
CO SCHOOL TR
Deed Book:
Deed Page:
Plat Book::
Piet Page:
Deed Acres:
Physical Address:
Improvement Value:
Land Value:
Fire District
Townshi a Code:
1428
0443
2008
0261
31.53
185 GRANITE MILL BLVD
724800
107
2
One Inch = 683 Feet